Daniel H Kelly, MD in Jackson, MS - Medicare Internal Medicine

Daniel H Kelly, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Jackson, Mississippi. His current practice location is 501 Marshall St Ste 104, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 969-6404.

Daniel H Kelly is licensed to practice in Mississippi (license number 27519) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417480831.

Contact Information

	Daniel H Kelly, MD
	501 Marshall St Ste 104, Jackson, MS 39202-1663
	(601) 969-6404
	(601) 973-4541

Map and Direction

Physician's Profile

Full Name	Daniel H Kelly
Gender	Male
Speciality	Internal Medicine - Cardiovascular Disease
Location	501 Marshall St Ste 104, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417480831
Provider Enumeration Date: 04/04/2017
Last Update Date: 06/13/2024

Medicare PECOS Information:

PECOS PAC ID: 2163788647
Enrollment ID: I20230618000025

Medical Identifiers

Medical identifiers for Daniel H Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417480831	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	27519 (Mississippi)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Daniel H Kelly allows following entities to bill medicare on his behalf.

Entity Name	Medical Foundation Of Central Mississippi Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992774814 PECOS PAC ID: 1153216411 Enrollment ID: O20040217000380

Entity Name	Mississippi Baptist Medical Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467589556 PECOS PAC ID: 9234026600 Enrollment ID: O20110707000181

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Daniel H Kelly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Daniel H Kelly, MD 965 Ridge Lake Blvd Ste 315, Memphis, TN 38120-9401 Ph: (877) 348-1281	Daniel H Kelly, MD 501 Marshall St Ste 104, Jackson, MS 39202-1663 Ph: (601) 969-6404

Reviews and Comments

Internal Medicine Doctors in Jackson, MS

Graves Crawley Stubblefield Jr., M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 406 Briarwood Dr, Jackson, MS 39206 Phone: 601-991-1933 Fax: 601-978-3844
Dr. Rebecca Chick Pace, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St, Suite 500, Jackson, MS 39202 Phone: 601-352-2273 Fax: 601-714-3415
Jewelian Akbar Baig, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr Ste 356, Jackson, MS 39216 Phone: 601-200-4644 Fax: 601-200-4645
Jo P Deal, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 766 Lakeland Dr # A, Jackson, MS 39216 Phone: 601-368-3440 Fax: 601-368-3441
Samuel Hammond Love, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 970 Lakeland Dr Ste 40, Jackson, MS 39216 Phone: 601-200-4850 Fax: 601-200-4838
Meghan Alford Luter, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5532
Dr. Taylor Brooke Winstead, MD, PHARMD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000

Daniel H Kelly, MD - Medicare Internal Medicine in Jackson, MS